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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 213AREA AGENCIES ON AGING
SUBCHAPTER CIMPLEMENTATION OF THE OLDER AMERICANS ACT
DIVISION 2AAA ADMINISTRATIVE REQUIREMENTS
RULE §213.151AAA Administrative Responsibilities

  (2) must not require a program participant to contribute toward the cost of services the program participant receives;

  (3) may provide a program participant with a contribution schedule that suggests a contribution amount based on the income ranges of the program participant population, but may not determine a program participant's income using a means test;

  (4) must protect the privacy of a program participant with respect to the program participant's contribution;

  (5) must establish appropriate procedures to safeguard and account for all contributions made; and

  (6) must use all program participant contributions to support or expand services for which the program participant contributed, in accordance with applicable state and federal laws, rules, and regulations.

(m) Facilities. A AAA must ensure that facilities in which services are provided are in compliance with applicable local building codes and ordinances and applicable state and federal laws, rules, and regulations.

(n) Tobacco policy. A AAA must prohibit the use of tobacco during the hours of operation of and in areas designated for Older Americans Act programs.

(o) Insurance. A AAA must maintain insurance that protects the health and safety of its employees and of program participants and complies with all applicable state and federal laws, rules, and regulations.

(p) Records. A AAA:

  (1) must develop, maintain, and retain records in accordance with the Uniform Grant Management Standards, Subpart C;

  (2) must establish written procedures to adequately ensure proper development, maintenance and retention of all financial records, supporting documents, statistical records and all other records relating to its performance;

  (3) must maintain all records for a minimum of five years following the end of the federal fiscal year to which the record pertains and until any pending litigation, claim or audit findings, issuance or proposed disallowed costs or other disputes have been resolved;

  (4) must maintain all records at a designated central location regardless of whether the AAA has one or multiple locations; and

  (5) must give HHSC, the Comptroller General of the United States, and the State of Texas, through any authorized representatives, access to its records, including:

    (A) financial records such as contracts, general ledgers, invoices, accounts payable, and accounts receivable;

    (B) program participant records unless specifically prohibited by law;

    (C) other documents related to HHSC funded programs; and

    (D) any other records not directly related to the AAA if the purpose of such access is to review charges to any indirect costs pool.

(q) Service provider compliance. A AAA must ensure that a service provider complies with requirements described in subsections (f) - (p) of this section.

(r) Contingency plan. A AAA must have a written plan ensuring continuity of services to a program participant in the event a service provider is unable to provide a service.

(s) Designation of focal points. A AAA must comply with the Older Americans Act, §306(a)(3)(A) and (B) regarding designation of focal points.

(t) Visibility.

  (1) A AAA must use the logo designed by HHSC (illustrated in paragraph (2) of this subsection) to ensure a uniform, statewide symbol for AAAs.

  (2) A AAA must use the logo on all printed material it develops.

Attached Graphic

(u) AAA contact information.

  (1) A AAA must publicize its contact information through a variety of media such as telephone directories, resource directories, the Internet, and other outreach tools for persons who reside in any geographical area that lies in whole or in part in the planning and service area served by the AAA.

  (2) Contact information must begin with the words "area agency on aging" and must include the host agency, as applicable. A AAA must ensure that a telephone call to the AAA is answered "area agency on aging."

(v) Phrase for printed material. A AAA must cite HHSC as the primary funding source using the phrase "Funded by the Texas Health and Human Services Commission" or "Funded in part by Texas Health and Human Services Commission" on all printed material.

(w) Identification of a AAA facility. A AAA must prominently display a sign outside its primary place of business that:

  (1) adheres to local ordinances concerning signs; and

  (2) conforms to the requirements in subsection (t) of this section.

(x) Emergency management.

  (1) When a disaster occurs, a AAA must notify HHSC of its need to provide for emergency management activities, provide information to HHSC regarding the impact of the disaster on the older population in its service area, provide emergency management services in accordance with current Administration on Aging disaster relief guidelines, and collect pertinent data necessary to submit reimbursement requests for disaster services.

  (2) A AAA must consult with the appropriate agencies that have an interest or role in meeting the needs of persons 60 years of age or older to plan for the occurrence and aftermath of natural, civil defense, or man-made disasters. To accomplish this, a AAA must:

    (A) develop an emergency disaster plan in accordance with HHSC requirements;

    (B) require by contract or vendor agreement that a service provider develop plans for emergency management; and

    (C) provide technical assistance as necessary to service provider staff persons regarding emergency management activities.

(y) Reporting abuse, neglect, or exploitation.

  (1) A AAA must instruct its staff persons and representatives, other than a representative of the Office as defined in 26 TAC §88.2, to report allegations of abuse, neglect, or exploitation of a program participant to the Department of Family and Protective Services (DFPS) in accordance with Texas Human Resources Code, Chapter 48. A report must be made by calling 1-800-252-5400 or by following the instructions available at www.txabusehotline.org.

  (2) The AAA must take appropriate corrective action if:

    (A) a staff person, other than a representative of the Office as defined in 26 TAC §88.2, does not report an allegation of abuse, neglect, or exploitation of a program participant in accordance with Texas Human Resources Code, Chapter 48; or

    (B) DFPS confirms abuse, neglect, or exploitation of a program participant by a staff person of the AAA.

(z) Emergency services. A AAA must instruct all of its staff persons to call 911 or another local emergency hotline for fire-fighting, police, medical, or other emergency services, as appropriate, in the event of an emergency involving a program participant.

(aa) Reporting waste, abuse, or fraud.

  (1) A AAA must instruct its staff persons and representatives to report allegations of waste, abuse, or fraud, as defined in 1 TAC §371.1601 (relating to Definitions), regarding a service described in subsection (a)(2) of this section. A report must be made to:

    (A) the Texas Health and Human Services Commission (HHSC), Office of the Inspector General, in accordance with the HHSC instructions available at www.hhs.state.tx.us; and

    (B) HHSC by calling 1-800-436-6184.

  (2) The Office of the Inspector General investigates reports of waste, abuse, or fraud in accordance with 1 TAC, Chapter 371, Subchapter G.

(bb) Ethical conduct.

  (1) A AAA must ensure that its staff persons and representatives conduct themselves in an ethical manner.

  (2) A AAA staff person may not:

    (A) engage in inappropriate treatment of a program participant or person seeking services;

    (B) withhold or suppress a complaint or report against the AAA or HHSC;

    (C) retain or distribute program participant information for personal gain;

    (D) obtain a certification by fraud or deceit; or

    (E) knowingly participate in the preparation of false or misleading program participant information.

  (3) A AAA must instruct all staff persons and representatives to report allegations of unethical conduct, as described in paragraph (2) of this subsection, to HHSC's AAA Section Manager.

(cc) Service provider compliance. A AAA must ensure that a service provider complies with the requirements described in subsections (y), (z), (aa)(1)(A), and (bb) of this section.

(dd) Complaints. A AAA must ensure that a service provider:

Cont'd...

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